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Showing results for "pressure injury".
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201. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
     psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
     May 31, 2023 - High risk of errors, preventable death : Multidisciplinary trauma teams face tremendous time pressures … , and specialty situations (neurotrauma, burns, spinal cord injury, and orthopedic trauma). … For example, prompts might remind staff working with a patient with abnormally low blood pressure to … The program had a particularly large impact on the use of pressure dressings to control hemorrhage (p … Missed injuries in a level I trauma center. J Trauma. 2002 Apr;52(4):715-9. 

202. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
     October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … December 21, 2017 Complexity bias in the prevention of iatrogenic injury: why specific

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72811/psn-pdf
     September 01, 2022 - High risk of errors, preventable death: Multidisciplinary trauma teams face tremendous time pressures … , and specialty situations (neurotrauma, burns, spinal cord injury, and orthopedic trauma). … For example, prompts might remind staff working with a patient with abnormally low blood pressure to … The program had a particularly large impact on the use of pressure dressings to control hemorrhage ( … Missed injuries in a level I trauma center. J Trauma. 2002 Apr;52(4):715-9.  2.

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49860/psn-pdf
     April 01, 2019 - improved functional independence at 4 and 12 months.(12-14) Hip fracture is a common and serious injury … , which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure ulcers, and significant … Injury. 2018;49:1458-1460. [go to PubMed] 2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma. 2006;20:172-180. … J Orthop Trauma. 2014;28:e49-e55.

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60268/psn-pdf
     April 29, 2020 - The most common complications of ECMO are bleeding from cannulation sites (15-20%) or surgical wounds … Device operating at proper settings (example: ventilator pressures, pump rpm)        iii. … Brain injury during venovenous extracorporeal membrane oxygenation. … Pressures – does the pump produce a pressure adequate for flow? What are the pressure trends? … Pressures are monitored before (pre-pump pressure), between pump and oxygenator (pre-oxygenator), and

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848036/psn-pdf
     April 26, 2023 - Issues identified included medical device-related pressure injuries and device dislodgement, concerns

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852447/psn-pdf
     August 16, 2023 - palliative care can include inappropriate pain management, preventable hospital (re)admissions, falls, and pressure … injuries.

208. In Conversation With… Paul H. O'Neill, MPA | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
     January 01, 2017 - their workforce, I announced we should be an injury-free workplace. … And over the 13 years I was there we got close to achieving zero injuries. … safety, namely to identify as quickly as possible anything gone wrong—including medication errors, pressure … are probably no better than average at all the other things they do, like central line infections and pressure … Were there time pressures in the OR to proceed with no help?

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866729/psn-pdf
     September 18, 2024 - compared with privately insured patients, Medicaid patients experienced significantly higher rates of pressure … injuries, catheter-related infections, and six-out-of-seven surgery-related safety indicators.

210. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet
     psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
     January 29, 2021 - chest wall muscles can create much higher negative intrathoracic pressures than those of elderly patients … Succinylcholine is contraindicated in patients with stroke, spinal cord injury, burns, or myotonic dystrophy … inadequate resources such as the broken drug refrigerator otherwise could have led to irreversible injury … Risk of respiratory complications and wound infection in patients undergoing ambulatory surgery: smokers … Negative-pressure pulmonary edema.

211. Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. | PSNet
     psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
     September 16, 2020 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated … hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls with injury

212. AHRQ Safety Program for Improving Surgical Care and Recovery. | PSNet
     psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
     December 24, 2008 - January 31, 2018 Pressure Injury Prevention in Hospitals Training Program.

213. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet
     psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
     July 05, 2017 - August 12, 2020 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … January 15, 2025 Identifying resilience: a system safety review of trauma and orthopaedic

214. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. | PSNet
     psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
     August 24, 2022 - March 30, 2022 Communication failures contributing to patient injury in anaesthesia malpractice … Related Resources Barriers and facilitators to reporting medical device-related pressure … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

215. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet
     psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
     November 16, 2022 - July 17, 2024 Early identification and evaluation of severe pressure injuries. … April 6, 2022 Clinical characteristics and short-term outcomes of acute kidney injury

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - provide intensive rehabilitation to patients recovering from hospitalization for an acute illness or injury … Nearly half of the events were considered preventable, with the most common types of events including pressure

217. Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet
     psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
     November 04, 2020 - mostly supportive of the OR Black Box, but several potential barriers were identified, such as time pressures … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … August 8, 2012 Role of intraoperative cholangiography in avoiding bile duct injury. … March 31, 2010 Laparoscopic bile duct injury: understanding the psychology and heuristics

218. Triggers contributing to health care clinicians' disruptive behaviors. | PSNet
     psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
     June 24, 2020 - The most frequent triggers included pressures from high census; environmental overload; chronic, unresolved … Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73665/psn-pdf
     September 01, 2021 - The most common safety events included pressure injuries or other skin integrity events, falls, and

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60027/psn-pdf
     January 01, 2021 - Improvements in medication errors and hospital- acquired pressure injuries were observed, but employee